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The investigators will test whether an intravenous infusion of saline (salt water) will improve the exercise capacity in patients with postural tachycardia syndrome (POTS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise Post Saline | Experimental | Saline infusion 1L hours before exercise test |
|
| Placebo | Placebo Comparator | Placebo given prior to exercise test |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saline | Drug | IV Normal Saline infused over 30-60 minutes given 3-6 hours PRIOR to exercise study |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference in VO2max between saline day and placebo day | VO2max will be measured hours after saline and after placebo. The 2 interventions will be less than 2 weeks apart. | Within 2 week |
| Measure | Description | Time Frame |
|---|---|---|
| Exercise capacity/Maximal Load (Watts) during peak VO2 | Maximal exercise load will be measured hours after saline and after placebo. The 2 interventions will be less than 2 weeks apart. | Less than 2 weeks |
| Cardiac output between exercise tests (inert gas rebreathing technique) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Satish R Raj, MD MSCI | Vanderbilt University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University | Nashville | Tennessee | 37232-2195 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15781744 | Background | Raj SR, Biaggioni I, Yamhure PC, Black BK, Paranjape SY, Byrne DW, Robertson D. Renin-aldosterone paradox and perturbed blood volume regulation underlying postural tachycardia syndrome. Circulation. 2005 Apr 5;111(13):1574-82. doi: 10.1161/01.CIR.0000160356.97313.5D. Epub 2005 Mar 21. |
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| ID | Term |
|---|---|
| D054972 | Postural Orthostatic Tachycardia Syndrome |
| D054971 | Orthostatic Intolerance |
| D013610 | Tachycardia |
| ID | Term |
|---|---|
| D054969 | Primary Dysautonomias |
| D001342 | Autonomic Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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| Placebo | Other | Placebo x1 lactose tablet |
|
| 2-10 Days between exercise tests |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D000075224 | Cardiac Conduction System Disease |
| D010335 | Pathologic Processes |
| D017670 |
| Sodium Compounds |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |